{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T19:23:46Z","timestamp":1754162626764,"version":"3.41.2"},"reference-count":0,"publisher":"European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMCTS"],"published-print":{"date-parts":[[2025,7,30]]},"abstract":"<jats:p>Mitral-aortic intervalvular fibrosa pseudoaneurysm is a rare but potentially fatal complication, most commonly arising from infective endocarditis or a prior cardiac operation. Rupture of a mitral-aortic intervalvular fibrosa pseudoaneurysm constitutes a surgical emergency and presents considerable technical challenges, with reported early mortality rates between 20% and 30%. We report the case of a high-risk 72-year-old man with a history of two prior cardiac operations who presented with a contained rupture of a mitral-aortic intervalvular fibrosa  pseudoaneurysm and an aortic root abscess. Surgical management involved mitral-aortic intervalvular fibrosa reconstruction using a double-layer bovine pericardial patch within a Commando operation with a modified bio-Bentall procedure and coronary artery reimplantation via a Cabrol procedure. This integrated approach enabled complete debridement of the infected aortic root tissue and successful repair of the mitral-aortic intervalvular fibrosa defect, highlighting the value of combining these complex techniques in select high-risk reoperative settings.<\/jats:p>","DOI":"10.1510\/mmcts.2025.057","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:37:02Z","timestamp":1753875422000},"source":"Crossref","is-referenced-by-count":0,"title":["Redo aortic root replacement (Cabrol procedure) and Commando operation for extensive prosthetic valve endocarditis with aortic root pseudoaneurysm involving mitral-aortic intervalvular fibrosa"],"prefix":"10.1510","member":"10966","published-online":{"date-parts":[[2025,7,30]]},"container-title":["Multimedia Manual of Cardio-Thoracic Surgery"],"original-title":[],"deposited":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:37:02Z","timestamp":1753875422000},"score":1,"resource":{"primary":{"URL":"https:\/\/mmcts.org\/case-report\/2045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,30]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1510\/mmcts.2025.057","relation":{},"ISSN":["1813-9175"],"issn-type":[{"type":"electronic","value":"1813-9175"}],"subject":[],"published":{"date-parts":[[2025,7,30]]}}}